<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sign_agent_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sign_agent_id" data-rule="required" data-source="sign/agent/index" class="form-control selectpage" name="row[sign_agent_id]" type="text" value="{$row.sign_agent_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Send_agent_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-send_agent_id" data-rule="required" data-source="send/agent/index" class="form-control selectpage" name="row[send_agent_id]" type="text" value="{$row.send_agent_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Postman_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-postman_id" data-rule="required" data-source="postman/index" class="form-control selectpage" name="row[postman_id]" type="text" value="{$row.postman_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shipping_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shipping_name" class="form-control" name="row[shipping_name]" type="text" value="{$row.shipping_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shipping_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shipping_no" class="form-control" name="row[shipping_no]" type="text" value="{$row.shipping_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-status" class="form-control" name="row[status]" type="number" value="{$row.status|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sign_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sign_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[sign_time]" type="text" value="{:$row.sign_time?datetime($row.sign_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Send_code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-send_code" class="form-control" name="row[send_code]" type="number" value="{$row.send_code|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sign_code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sign_code" class="form-control" name="row[sign_code]" type="number" value="{$row.sign_code|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
